Laryngopharyngeal Reflux Mimicking Limited Wegener Granulomatosis
Reflujo laringofaríngeo como simulador de granulomatosis de Wegener limitada
Luis Felipe Flores-Suáreza,
, Jaqueline Ramírez-Anguianob, Patricio Santillán-Dohertyc
Corresponding author
felipe98@prodigy.net.mx
Correspondence: Servicio de Inmunología y Reumatología. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Vasco de Quiroga 15, Col. Sección XVI. Tlalpan. Mexico, DF. CP. 14000. Mexico.
Correspondence: Servicio de Inmunología y Reumatología. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Vasco de Quiroga 15, Col. Sección XVI. Tlalpan. Mexico, DF. CP. 14000. Mexico.
a Servicio de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Mexico City, Mexico
b Servicio de Otorrinolaringología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Mexico City, Mexico
c Servicio de Cirugía Experimental, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Mexico DF, Mexico
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[ 0 => "felipe98@prodigy.net.mx" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Jaqueline" "apellidos" => "Ramírez-Anguiano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Patricio" "apellidos" => "Santillán-Doherty" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Mexico City, Mexico" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => 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Mexico." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Reflujo laringofaríngeo como simulador de granulomatosis de Wegener limitada" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-06-11" "fechaAceptado" => "2007-09-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec111838" "palabras" => array:3 [ 0 => "Wegener granulomatosis" 1 => "Subglottic stenosis" 2 => "Laryngopharyngeal reflux" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec111839" "palabras" => array:3 [ 0 => "Granulomatosis de Wegener" 1 => "Estenosis subglótica" 2 => "Reflujo laringofaríngeo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We present a case of subglottic stenosis (SGS) in a young patient with positive ANCA but a wrong diagnosis of Wegener granulomatosis (WG). Instead, she was diagnosed as having laryngopharyngeal reflux (LPR). Pitfalls of ANCA testing in this scenario, the route to diagnosis of LPR and the contribution of this entity to subglottic stenosis (SGS) in WG are discussed. Caution when interpreting ANCA results is mandatory to avoid improper management.</p>" ] "es" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso de estenosis subglótica (ESG) en una paciente joven con ANCA positivos, pero un diagnóstico erróneo de granulomatosis de Wegener (GW). El caso correspondió a reflujo laringofaríngeo (RLF). Se discuten los falsos positivos de la prueba de ANCA, la ruta diagnóstica del RLF y la contribución de esta entidad a la ESG en GW. Debe tenerse precaución en la interpretación de ANCA para evitar el tratamiento inapropiado.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The management of subglottic stenosis in patients with Wegener's granulomatosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.S. Lebovics" 1 => "G.S. Hoffman" 2 => "R.Y. Leavitt" 3 => "G.S. Kerr" 4 => "W.D. Travis" 5 => "W. 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| 2014 March | 41 | 21 | 62 |
| 2014 February | 30 | 11 | 41 |
| 2014 January | 26 | 19 | 45 |
| 2013 December | 22 | 10 | 32 |
| 2013 November | 27 | 8 | 35 |
| 2013 October | 33 | 18 | 51 |
| 2013 September | 20 | 10 | 30 |
| 2013 August | 24 | 9 | 33 |
| 2013 July | 19 | 9 | 28 |
| 2013 June | 14 | 15 | 29 |
| 2013 May | 15 | 12 | 27 |
| 2013 April | 16 | 10 | 26 |
| 2013 March | 12 | 8 | 20 |
| 2013 February | 13 | 9 | 22 |
| 2013 January | 18 | 19 | 37 |
| 2012 December | 14 | 17 | 31 |
| 2012 November | 9 | 9 | 18 |
| 2012 October | 6 | 6 | 12 |
| 2012 September | 7 | 4 | 11 |
| 2012 June | 2 | 0 | 2 |
| 2012 May | 1 | 0 | 1 |
| 2012 April | 4 | 0 | 4 |
| 2012 March | 4 | 0 | 4 |
| 2012 January | 8 | 0 | 8 |
| 2011 December | 3 | 0 | 3 |
| 2011 November | 2 | 0 | 2 |
| 2011 October | 3 | 0 | 3 |
| 2011 September | 1 | 0 | 1 |
| 2011 August | 2 | 0 | 2 |
| 2011 July | 2 | 0 | 2 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 2 | 0 | 2 |
| 2011 April | 1 | 0 | 1 |
| 2011 March | 5 | 0 | 5 |
| 2011 February | 1 | 0 | 1 |
| 2011 January | 4 | 0 | 4 |
| 2010 December | 6 | 0 | 6 |
| 2010 November | 3 | 0 | 3 |
| 2010 October | 8 | 0 | 8 |
| 2010 September | 2 | 0 | 2 |
| 2010 August | 3 | 0 | 3 |
| 2010 July | 6 | 0 | 6 |
| 2010 June | 1 | 0 | 1 |
| 2010 May | 2 | 0 | 2 |
| 2010 April | 2 | 0 | 2 |
| 2010 March | 3 | 0 | 3 |
| 2010 February | 1 | 0 | 1 |
| 2010 January | 4 | 0 | 4 |
| 2009 December | 5 | 0 | 5 |
| 2009 November | 8 | 0 | 8 |
| 2009 October | 4 | 0 | 4 |
| 2009 September | 4 | 0 | 4 |
| 2009 August | 6 | 0 | 6 |
| 2009 July | 3 | 0 | 3 |
| 2009 June | 10 | 0 | 10 |
| 2009 May | 9 | 0 | 9 |
| 2009 April | 15 | 0 | 15 |
| 2009 March | 4 | 0 | 4 |
Show all
